Piles Surgeon in Mumbai

Piles, also known as Hemorrhoids are the swollen veins located around the anus in the lower rectum.

Piles in its early stages can be treated by medications. The patient is also advised to increase the liquid intake and fibers in the diet. This prevents constipation which can ease piles and even help recover.

Treatment Options:

In the chronic cases where the piles get irritated or infected, piles surgery may be required. There are different surgical options to treat piles. The aim of piles surgery is to restrict the blood supply or remove hemorrhoids.

Hemorrhoids may occur as internal or external in nature. Internal hemorrhoids form in the anus or rectum whereas external hemorrhoids form outside the anus. Hemorrhoids are also referred to as piles. The different grades of internal hemorrhoids include:

Grade I
Haemorrhoids bleed but do not prolapse
Grade II
Haemorrhoids prolapse outside the anal canal but resolve on their own
Grade III
Haemorrhoids protrude outside the anal canal and are usually reduced manually
Grade IV
Haemorrhoids prolapse that cannot be reduced

Types of Hemorrhoidectomy

Closed Hemorrhoidectomy
It involves removing hemorrhoidal bundles with a sharp instrument such as a scalpel, scissors, electrocautery, or even a laser. This is then followed by complete wound closure with absorbable suture. Despite having the most postoperative discomfort and pain, this technique has the best long-term results with the lowest recurrence rates.
Open Hemorrhoidectomy
Hemorrhoidal tissue is removed in the same way as in a closed procedure, but the incision is left open in an open hemorrhoidectomy. When the amount of disease or location makes wound closure difficult or the risk of postoperative infection is high, surgeons may choose open hemorrhoidectomy.
Stapled Hemorrhoidopexy
Stapled Hemorrhoidopexy is typically performed on patients with grade III and IV hemorrhoids on whom previous minimally invasive treatments have not worked (injection by sclerotherapy, coagulation using laser). A circular stapling device is used during stapled Hemorrhoidopexy to excise a circumferential ring of excess hemorrhoid tissue, thereby lifting hemorrhoids back to their normal position within the anal canal. Stapling also disrupts the blood supply to hemorrhoids. As per studies, stapled Hemorrhoidopexy causes less postoperative pain and requires a shorter recovery time than conventional surgery, but it does have a higher recurrence rate
Rubber Band Ligation
A rubber band is wrapped around the base of the hemorrhoid inside the rectum. The band stops blood flow, and the hemorrhoid dies within a few days.

Preventive Measure for Piles

Here are some tips which can help to prevent Piles:

1. High fiber-containing diet
2. Fluid Intake
3. Avoid Straining
4. Stay Active
5. Never Hold Back

Pre-operative Care

• Have nothing to eat or drink 6 Hours before surgery except for prescribed medications you have been told to take with a sip of water.

• Report 2 hours before the Surgery time (OT Procedure)

• Carry Doctor’s Case Paper on which treatment is written at the time of Admission to Hospital

• Carry Insurance Documents with you to the Hospital before Admission

• Do not apply any lotions, perfumes, deodorants, or Nail polish before surgery

• Take off your jewellery including earrings and piercings

• Don’t shave the area, this will be taken care by Hospital nurse

Download Pre-operative Care Instructions

Post-operative Care

1. Take pain relieving and other medications as advised. Pain-relieving medication should be taken with food.

2. Follow-up with the doctor after a period of 10 days.

3. Eat a healthy diet and drink plenty of non-alcoholic and non-caffeinated drinks.

4. Do not operate any machinery, or lift any heavy articles after Surgery

5. Rest for a few days after the surgery is advisable, but keep mobile.

6. It is critical to stay hydrated and maintain a high-fiber diet in order to have easy and painless bowel movements.

7. Warm sitz baths may also help to reduce pain following surgery.

8. It is normal to have some bleeding after surgery, but if a significant amount runs down the leg, a doctor should be informed immediately.

Download Post-operative Care Instructions

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Dr. Pradeep Shriyan, a seasoned and accomplished laparoscopic, general surgeon and Proctologist in Mumbai, is a trusted professional serving the Mumbai Suburban. With a wealth of experience and expertise, Dr. Pradeep Shriyan specializes in a wide range of procedures.

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Piles Surgeon in Mumbai